直肠癌前切除术后吻合口瘘发生的危险因素及防治  

Risk Factors as well as Treatment and Prevention of Anastomotic Leakage After Anterior Resection for Rectal Cancer

作　　者：岳欣[1] 刘凯[1] 王家仓[1] 

机构地区：[1]天津医科大学肿瘤医院结直肠科,天津300060

出　　处：《医学综述》2007年第23期1788-1790,共3页Medical Recapitulate

摘　　要：吻合口瘘是直肠癌前切除术后严重的并发症之一,相关于更高的局部复发率和0～25%的病死率。许多因素被认为是影响该并发症发生的危险因素:吻合口高度、术前放疗或放化疗、全直肠系膜切除、性别(男性)、急症手术和梗阻性癌等。许多尝试被用作吻合口瘘的预防或治疗,如腹盆腔的通畅引流、粪便转流造口、短的结肠囊袋、负压灌洗引流等。Anastomotic leakage（AL）is one of serious complicat ions after anterior resection for rectal cancer,which is associated with higher local recurrence rat e and mortality about（0-25）%.Many factors are considered to be risk factor s,affecting the incidence of AL,which are altitude of stoma,radiotherapy or binded with chemotherapy before operation,total mesorectal excision（TME）,sex,emergency operation,obstructive cancer and so on.Many methods are b eing tried to be used as prevention and treatment of AL,which includes no-s uction pelvic and peritoneal drainage,defunctioning stoma,a short colon pouch,underpressive suction-irrigation drainage and so on.

关 键 词：直肠肿瘤 吻合口瘘 前切除术 

分 类 号：R730.6[医药卫生—肿瘤] R619[医药卫生—临床医学]